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Lean muscle preservation: Weight loss should not come at the expense of muscle

Often through architecture

The first person will have an easier time keeping a stable weight, and the second is more likely to consistently gain, inching their way toward diabetes and cardiovascular disease

Research from the STEP trials (semaglutide) and SURMOUNT-4 (tirzepatide) shows that without ongoing pharmacotherapy or substantial behavioral interventions, significant weight regain occurs within the first year after stopping treatment

In her practice, McElroy has seen patients misuse everything from stimulants to laxatives as part of their illness

Instead, the two groups recommend careful weighing of risks and benefits and discussion between the patient and their care team to make an informed decision